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      Anemia

    • Are you anemic (low iron)? YesNo
    • Have you ever received a blood transfusion for anemia? YesNo
    • Menstrual Symptoms

    • Do you get heavy menstrual bleeding or period last more than a week? YesNo
    • Painful menstrual cramps? YesNo
    • Pregnancy

    • Have you been trying to get pregnant for more than a year? YesNo
    • Have you experienced multiple miscarriages? YesNo
    • Daily Life

    • Fatigue and tiredness? YesNo
    • Frequent urination? YesNo
    • Pelvic pain and pressure? YesNo
    • Bloating and constipation? YesNo
    • Pain in the back and legs? YesNo
    • Pain during sexual intercourse? YesNo